Fep Jeopardy Template

Authentication	Turn Around Time	Prior Approval	General Information	CIF
100 You need these four pieces of information for none IVR? What is First Name and Last name, Date of Birth, Zip Code, and name of medication	100 What is the TAT for a refill with no issues? What is 10 business days	100 What is the 4 ways to summit a PA? What is Electronic, phone, fax, mail	100 What is the FEP web site? What is FEPBlue.org	100 What is the client code for FEP? What is Z6500
200 What is the question we ask for third party? What is Is the member is aware they are calling on their behalf?	200 What is the TAT for a requesting a new rx? What is twice via fax within the next 5 business days	200 What is TAT For an electric PA? What is up to 3 business days	200 What is a Looper? What is A type of Variable Fill provided when Prior Approval is on file, or the member receives an amount covered under Quantity Allowance, to fill a full 90 Day Supply when a smaller Quantity was filled by a Retail or Mail Order Pharmacy. Removing the member from a "loop" of smaller Quantity fills.	200 What is the three plan types? What is Standard, Basic and FEP Blue Focus
300 What is the additional information you need when the doctor office calls? What is the name of the person calling?	300 What is the TAT for a breast pump or blood pressure monitor? What is within 14 days	300 What is the opportunity when the plan benefit override is yellow? What is PA expiring	300 What is Catastrophic? What is when the eligible Out Of Pocket expenses reach the Catastrophic Protection Maximum, the member will no longer have to pay the associated cost sharing amounts for the rest of the calendar year.	300 What is program is new for the Plan Year of 2020? What is the Weight Loss Program
400 What is the additional information you need when the pharmacy is calling? What is the callers name and NPI number?	400 What is the TAT for claim research task? What is up to 21 days	400 What is the process for an order placed for a Prior Approval medication without a Prior Approval on file What is the order will be held?	400 What is the name of the pharmacy that handles special drugs? What is AllianceRx Walgreens Prime	400 What is the total amount of overrides allowed for a vacation? What is Member is able to receive Five (5) Vacation overrides per member, per rolling year, per incident. An incident pertains to multiple prescriptions at one time.
500 What is the verification that you can get in place of zip code? What is the plan sponsor?	500 What is the TAT for a paper claim? What is up to 4-6 weeks upon receipt	500 What is the time frame to renew an expiring PA What is up to 90 days prior to expiring	500 What is required on every call? What is Telephone Number, Email, check eligibility, view activity, check HEE, access CIF on every call	500 What is the Timely Filing Limit for a Paper Claim? What is Submit the claims by December 31 of the year after the year the prescription was received

FEP

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